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MS. TAMMY LYNN FULLER APRN
NPI 1619614930
Nurse Practitioner - Family in New Smyrna Beach, FL

Active since May 18, 2022PECOS EnrolledAccepts Medicare Assignment
161 N. CAUSEWAY STE. C, NEW SMYRNA BEACH, FL 32169(386) 424-8440(386) 426-8839 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tammy Lynn Fuller Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TAMMY LYNN FULLER APRN (NPI 1619614930) is an individual family provider in New Smyrna Beach, Florida, licensed in Florida (11018505) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center - Pine Ridge, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619614930
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TAMMY LYNN FULLERCredential: APRN
Location Address161 N. CAUSEWAY STE. CNew Smyrna Beach, FL 32169
Mailing Address161 N. Causeway Ste. CNew Smyrna Beach, FL 32169 · (386) 424-8440 · Fax (386) 426-8839
Phone(386) 424-8440
Fax(386) 426-8839
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 18, 2022
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1619614930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11018505
161 N. CAUSEWAY STE. C, New Smyrna Beach, FL 32169
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Other Names 1

Former Name (1)Tammy Lynn Miller Aprn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Tammy Lynn Fuller Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567836711
PECOS Enrollment IDI20230329003519
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
60 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLY ANN LORD NP
Nurse Practitioner (Gerontology)
161 N. CAUSEWAY STE. C
NEW SMYRNA BEACH, FL 32169
Volusia County (386) 424-8440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Fuller's NPI number?

The NPI number for Tammy Fuller is 1619614930. It was assigned to this individual provider in the NPPES registry on May 18, 2022. The provider is also known as Tammy Lynn Miller Aprn.

Where is Tammy Fuller located?

Tammy Fuller practices at 161 N. Causeway Ste. C, New Smyrna Beach, FL 32169. The listed phone number is (386) 424-8440.

What is Tammy Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tammy Fuller enrolled in Medicare?

Yes. Tammy Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tammy Fuller affiliated with any hospitals?

According to CMS data, Tammy Fuller is affiliated with Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Tammy Fuller was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.